某医院门诊出诊医生工作效率分析

The Analysis of the Doctors'Working Efficiency in Out-patient Department of a Certain Hospital

目的提高门诊的服务效率和服务质量,加强门诊的组织管理。方法采用某医院电子门诊系统中的门诊预约与挂号子系统,2004年2、3、4月门诊就诊病人就诊记录。对门诊医生接诊时间进行分析。结果除神经内科平均接诊时间较标准时间长外,其他科室的平均接诊时间均明显较标准接诊时间短。除妇产科外,其他科室实际接诊量均比标准接诊量少,神经内科、普通外科均比标准接诊量少15人次;按实际平均接诊时间P90计算接诊人数与标准接诊人数相比,妇产科、皮肤科、泌尿外科、普通外科相差最多,分别多44、39、23和10人次;神经内科和眼科相差最小,分别为-4和6人次。结论门诊普遍存在接诊量少、接诊时间短、医生安排不合理的现象。针对此现象提出了整改措施,并依据标准接诊时间,采用有效工时法计算的每日上、下午出诊医生数,有效节省了人力。

Purpose：To improve out-patient service efficiency as well as service quality. Method By applying electronic appointment and sub-system of electronic registration in clinics, the authors recorded the number of hospitalized patients and analyzed the consultation hours of the doctors in February, March and April of 2004. Result They found the consultation hours in other departments were shorter than the standard except in Department of Neurology, Apart from Department of Gynecology, the number of the patients in any other department was fewer than the standard, with 15 persons/times fewer than the standard in departments of neurology and surgery. Compared with the standard, the practical consultation hours of departments of gynecology, dermatology, urology and surgery was much fewer, with 44, 39, 23 and 10 persons/times fewer respectively, while the difference from the standard was the smallest in Department of Neurology and Department of Ophthalmology, with 4 to 6 persons/times fewer. Conclusion Now there are the facts of smaller number of patients, fewer consultation hours and the misarrangements of doctors. The authors suggest some reformative measures to standardize consultation hours, calculate efficiently the number of consulting doctors both in the morning and afternoon, and thus manpower is saved greatly.